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<br /> <br />tervi{{e <br /> <br />T-sta6{isfietf 1857 <br /> <br />1880 '.Main Street . CentervifJe, '.M:N 55038 <br />(651) 429-3232 . Pa.r..(651) 429-8629 <br /> <br />CITY OF CENTERVILLE <br />APPLICA nON FOR PRELIMINARY PLAX P PJ.M ,(10/' ~ <br />#~ tJt) of ~.,aMI..-r ~ <br />,\ I I ' Any additional costs incwTed for <br />DATE PAID: /l71 Ole FE ./~ ,CO + Engineering, legal fess, publication or <br />-N <t'I/J~kJ 9therreoJPfements., r ....k.- c: ,/~~. <br />"' Wul/ (5(J4&Se, C)'Y I!d;:.r:::v .;<- <br />STREET LOCATION OF PROPERTY: d~e:;,';" <br />w.k <br />LEGAL DESCRIPTION OF PROPERTY: ~ A~{1 d~ ..ey,..tA'5~, <br /> <br />SIZE OF PARCEL (S): ~ D .\(Q ",.f <br />PROPERTYOWNER:-Se...~ a.x-J '~~Qi\Z!l\.PHONE#: ~J 9,-750 -14'-1a. <br />FEE OWNER: 5 CUW- CD 1\ o.nCluJL <br />ADDRESS: 1:!Jgl 01d MOIL ~oM Co Y\.~(); Ile _ mf\ .55038 <br /> <br />APPLICANTS INTEREST IN PROPERTY: <br /> <br />/' FEE OWNER <br />LEASE HOLDER <br /> <br />DESCRIPTION OF REQUEST: )... ot c:~ \ A <br /> <br />CONTRACT PURCHASER <br />OPTION TO PURCHASE <br /> <br />REASON FOR REQUEST: R\u...-\- o....~ ~<,crD~ <br /> <br />By paying lhe above staled fee, I umkrsland lha1 n eflUlUs will be issued ill full or in p&t, at any linle, even if <br />outcome i, denial. ,1 <br /> <br />-~//,: .~ <br />--~~ rI . <br />~ ::rgya),Jif of AppliCant; <br />./~ ~ <br />~ 'o:l7)J' <br /> <br />Date' <br /> <br /> <br />LM~'~ <br />